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Tag Archives: medicare appeal
Nominee Tom Price Wants Shift Away from Medical Necessity Audits To Anti-Fraud Audits
CMS should focus its billing audits less on verifying medical necessity and more on rooting out blatant fraud, the agency’s likely next secretary said Tuesday. Rep. Tom Price, R-Ga., made statements to that affect while appearing before the Senate Finance … Continue reading
Self-Administered Medication – Earned Revenue or Another Write Off
Caveat emptor et provisor [Let buyer and provider beware] Written by Bill Malm, ND CMAS CRCR Many facilities struggle with the implementation and collection of earned revenues from Self-Administered Medications (SAD.) SAD has had a litany of guidance made by … Continue reading
Posted in Academy Blog
Tagged appeal academy, auditing in healthcare, audits in healthcare, clinical audits, health audit, healthcare audits, inpatient, IPPS, medical audit, medical auditors, medical audits, medicare appeal, medicare audit, Medicare Part B, Medicare Part D, opps, outpatient, sad, self-adminstered drug
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“Finally Friday!” CMS Proposes the MOON & Other Changes for the NOTICE Act
FRIDAY May 13, 2016: “CMS Proposes the MOON & Other Changes to Implement the NOTICE Act“ A Proposed Rule Inside A Proposed Rule OR How CMS can defy Congress with a straight face Get the Handouts Sponsored by The Health … Continue reading
Posted in Finally Friday!
Tagged appeal academy, audit in healthcare, audit tools for healthcare, audit tools in healthcare, auditing in healthcare, audits in healthcare, clinical audit cycle, clinical auditing, clinical audits, finally friday, healthcare audits, inpatient, internal audit procedure, IPPS, medical audit, medical auditors, medical audits, medicare appeal, medicare audit, MOON, moon notice, NOTICE, NOTICE Act, opps, outpatient
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